Wednesday, July 3, 2013
Claim denials? AMA tool can help you fight for due pay
A newly updated online tool from the AMA can help physicians secure accurate payment from health insurers when their claims have been inappropriately denied.
The AMA's Claims Workflow Assistant lets physicians quickly look up the reasons insurers report for denying claims on electronic remittance advice. The tool then offers steps physicians can take to efficiently address those claim denials and $0 payments.
For AMA members, the tool provides template appeal letters they can easily modify and use to appeal their claims. If you're not an AMA member, join today to take advantage of this resource.
Get insights into building new pay models, getting paid
An AMA webinar at 7 p.m. Eastern time July 18 will explore how physicians can design new payment models that work for their practices. Register today to participate.
The sixth in an ongoing series hosted by the AMA Innovators Committee, this webinar will take a look at the mechanics of building new payment models that ensure fair physician compensation and simultaneously foster high value care.
Physician innovators who implemented payment reforms that work will give the inside scoop about data and analytic tools that are vital to the creation of a successful model. Presenters will discuss tackling such challenges as the definition and length of an episode of care, attribution and control of payment, risk adjustment and high-cost outliers.
The final webinar in this series, to be offered later this summer, will examine other mechanics of new payment models and ways physicians can customize models to fit their practices.
The first five webinars in the series are archived for on-demand viewing. They cover such topics as providing team-based care to optimize practice workflow and increase value, improving care coordination without moving to an employment model, and boosting value by benchmarking.
Physicians can earn continuing medical education credit in the form of AMA PRA Category 1 Credit™ by participating in or viewing any of the webinars in this series. Registration is free for AMA members; nonmembers can sign up for $30. If you're not an AMA member, join today.